| NPI | 1538340526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 04477) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: DC PSY1000540) |
| 103TC0700X Psychologist, Clinical (Licence: VA 0810003611) | |
| Enumeration Date | 2007-11-18 |
| Last Update Date | 2009-03-19 |